Miraç Barış USTA, Ayşegül DUMAN KURT, Hatice GÜLŞEN, Koray KARABEKİROĞLU

OTİZM SPEKTRUM BOZUKLUĞUNUN NEDENLERİNE AİT EBEVEYN ALGISININ TEDAVİ TERCİHİNE ETKİSİ

Amaç: Kompleks etiyolojisi ve çekirdek semptomlarına etkili bir tedavinin henüz olmaması nedeniyle birçok kültürde OSB’nin oluşumnedenlerine dair farklı görüşler bulunmaktadır.Bu çalışmada ailelerin OSB’nin nedenlerine ait görüşleri, tedavi seçimleri ve beklentilerininaraştırması amaçlanmıştır.Materyal ve Metot: Çalışmaya 2015-2019 yılları arasında Ondokuz Mayıs Üniversitesi Çocuk Psikiyatri kliniğine başvuran ve OSB tanısıolan çocukların aileleri dahil edilmiş olup veriler geriye dönük olarak taranmıştır. Kliniğimize başvuran her hasta için ailelere görüşmeöncesinde “Ön Görüşme Formu” doldurtulmuş, bilgileri tam olan hastalar çalışmaya alınmıştır. Ön görüşme formunda çocuğun yaşı,cinsiyeti, daha önce aldığı tedavi, hastalığın ya da bozukluğun neden kaynaklandığı ve tedavi beklentisine dair sorular bulunmaktadır.Klinik global izlem-hastalık şiddeti çocuk psikiyatri uzmanı tarafından doldurulmuştur.Bulgular: Çalışma grubunda 241 çocuk ve bakım vereninin verisi incelenmiştir. Erkek ve kız hastaların klinik özellikleri, aile görüşleri veçocuk psikiyatri uzmanı tarafından belirlenen hastalık şiddeti karşılaştırıldığında kız hastaların klinik global izlem puanlarının dahayüksek olduğu (p=0.022) ve “Çocuğun kendinden” şıkkının daha yüksek oranda işaretlendiği (p=0.014) gözlenmiştir. İki AdımlıKümeleme Analizi sonrasında iki küme oluşmuş ve kümeler için en belirleyici özellik “Çocuğa ait nedenler” olmuştur. İki küme arasında“daha önce psikiyatrik muayene”, “ilaç tedavisi” ve “yaş” özelliklerinin belirleyici olduğu gözlenmiştir.Sonuç: Ailenin tedavi seçiminde, otizmin oluşum nedenlerine ait görüşleri, bozukluğun süresi ve daha önce çocuğun görmüş olduğupsikiyatrik muayeneler etkili olmaktadır. Bu bulgular OSB ile ilgilenen klinisyenlerin ailelere rehberlik etme ve kararlarına yardımcı olmasıaçısından önem taşımaktadır.

The Effect of Parental Perception of Causes of Autism Spectrum Disorder on Treatment Choice

Aim: Due to the complex etiology and the lack of effective treatment for core symptoms, there are different views on the causes of ASD in many cultures. In this study, it was aimed to investigate the opinions, treatment choices, and expectations of families about the causes of ASD. Materials and Methods: Children diagnosed with ASD who applied to the Ondokuz Mayıs University Child Psychiatry Clinic between 2015 and 2019 were retrospectively included in the study. Patients who filled the information in the "preliminary interview forms" filled by the families before the interview for each patient who applied to our clinic were included in the study. The preliminary interview form contains questions about the child's age, gender, previous treatment, why the disease or disorder originated, and the prospect of treatment. Results: The data of 241 children and caregivers were examined in the study group. Comparing the clinical features and family views of the families of male and female patients, it was observed that the caregivers of the female patients had higher clinical global follow-up scores (p=0.022) and marked the "child's self" option (p=0.014). After a two-step clustering analysis, two clusters formed, and the most determining feature for the clusters was "Child-related causes". It was observed that "psychiatric examination", "drug treatment “and "age" were determinative between the two clusters. Conclusion: Opinions of caregivers about the causes of autism, duration of the disease, and previous psychiatric examinations affect the choice of treatment. These findings are essential for understanding the family's treatment choices and helping families and clinicians interested in ASD to guide and make decisions.

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